NPI 1497829899
Physicians Health Association of Illinois
Practice location
- Address
- 701 N 1st St, Springfield, IL 62781-4026
- Phone
- (217) 588-2882
- Fax
- (217) 757-7550
- Mailing address
- 701 N 1st Street Box 136, Springfield, IL 62781
Authorised official
- Name
- Michael Kos
- Title
- Ipa Administrator
- Phone
- (217) 588-2674
Registered specialties
Health Maintenance Organization
Primary
Registry record
- NPI
- 1497829899
- Entity type
- Organization
- NPI issued
- 17 Nov 2006
- Record last updated
- 30 Jun 2022
Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.